Latest Inspection
This is the latest available inspection report for this service, carried out on 18th March 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Rydal Mount.
Annual service review
Name of Service: Rydal Mount The quality rating for this care home is: The rating was made on: two star good service 1 2 0 1 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Diane Jinks Date of this annual service review: 1 1 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: Station Hill Wigton Cumbria CA7 9BJ 01697349266 Telephone number: Fax number: Email address: Provider web address:
www.c-i-c.co.uk Community Integrated Care Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 4 0 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 4 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Rydal Mount provides the services and care for four people with a learning disability and is operated by Community Integrated Care. Rydal Mount is a detached bungalow set in its own grounds on the outskirts of Wigton. The home is near to the local services and facilities. The home is set on a hill at the end of a steep driveway. The people who currently live in the home need to use the vehicle when leaving or entering the grounds. There is a large accessible patio area with seating, to the rear of the home, overlooking the garden. Inside the home there is a large lounge room with dining area and a smaller second lounge. There are four single occupancy private bedrooms, a well equipped kitchen and a utility/laundry room. There are two 1 2 0 1 2 0 0 9 Annual Service Review Page 2 of 7 bathrooms with specially adapted bathing and toilet facilities that are fully accessible. Information about the home is made available to people considering moving in and is also available in the home, including the most recent inspection report. The fees for the home vary and there are additional charges for personal expenses such as toiletries and the hairdresser. Further information about the charges may be obtained from the manager at the home. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included: The annual quality assurance assessment (AQAA) that was sent to us by the manager. The AQAA is a self-assessment that is filled in once a year by all providers. It focuses on how well outcomes are being met for people using the service. It also gives us some statistical information about the home. Surveys returned to us by people using the service, some of their relatives and some of the staff that work at Rydal Mount. The previous key inspection report, particularly where requirements and recommendations have been made to help make improvements to the service. We also checked whether there have been any complaints made about the home or whether there have been any matters regarding the safeguarding of vulnerable adults (abuse). There have been no reports of any complaints or of anything abusive happening at the home. What has this told us about the service? Ms Coates, the manager at Rydal Mount sent us the annual quality assurance assessment (AQAA) when we asked for it. She provided us with information about the service particularly where improvements have been made and where further improvements are planned. At our last visit to Rydal Mount we did not make any requirements but we did make three good practice recommendations for the providers to consider. The recommendations were in respect of staff undertaking training in the safeguarding of vulnerable adults, for the manager to implement the planned training programme and monitor staff training needs and for the provider to ensure that senior managers undertake monthly monitoring visits to the home. The information supplied in the AQAA indicates that the manager has taken some action to meet these recommendations and has also acknowledged that further improvements could be made. The manager has also outlined further improvement plans for the coming year. Within the AQAA, the manager has generally identified the strengths of the home, areas where further improvements can be made and plans for how those improvements will be implemented over the next year. From all of the information we looked at, our judgement is that the home generally continues to provide a good service. We sent surveys to all of the people that live at Rydal Mount and three were returned to us. Everyone had received some support from one of the support workers to Annual Service Review Page 4 of 7 complete the surveys. People indicated that they were given enough information about Rydal Mount to help them make their decision to move there. They told us that they are able to make their own decisions on day to day matters. They also told us that they can choose to do what they want to do during the day, evening and at weekends. People told us that the staff always listen and act on what is said and that the staff treat them well. The people that live at Rydal Mount know about the complaint process and know who to speak to if they are not happy about something. The manager told us that the staff try to work in a person centred way and fully include the person and their relatives where appropriate, in all planning. The manager ensures that health care specialists and professionals are included in this process where necessary. The manager has told us that this is an area that she hopes to make further improvements to. The manager said that there are a range of activities available in the home and in the community. People using this service are encouraged to make their own decisions and choices. The manager told us that routines are flexible to help people have more choice about the daily lifestyle. The manager told us that staffing levels determine events that happen for external activities. From the surveys we have received it appears that the home would benefit from a review of the staffing levels so that there are more staff to plan activities. Most of the staff at the home have gained a relevant NVQ (National Vocational Award). There is a training plan in place at the home and staff are encouraged to keep their skills up to date. The manager said that the home has a good record of staff retention. This helps to ensure that people using this service receive consistent support from people they know well and trust. The manager tells us that although staff have received some training, there has been some slippage in the training programme due to unforeseen circumstances affecting the home last year. Seven members of staff returned surveys to us. Most of them said that they received suitable training to keep their skills and knowledge up to date. They all said that their induction training prepared them very well for the work they were about to undertake. The surveys indicated that there may not always be a sufficient number of staff on duty to always fully meet the needs of the people that live at Rydal Mount. The manager indicates that the service tries to utilise the staff in the best way possible. People completing surveys told us that the home is always clean and fresh. Some staff identified that the home would benefit from some new furniture, curtains and windows. One person said, although the home is well decorated we could do with new furniture, curtains and we need new windows but the manager is looking into this. The manager hopes that these improvements will be made in the forthcoming year. Comments we received from people who live at Rydal Mount included: They help me plan my days/activities and how I choose to live my life and provide the support I need to do this. Staff take me out for day trips, shopping, out for lunch or out for a coffee when I like. Annual Service Review Page 5 of 7 I am taken out for lunch, cups of tea/coffee, shopping, day trips and to classes. I am well looked after by the staff. One person thought that the home could do better by having more staff so I can have more 1:1 time. The comments we received from relatives indicate that they are generally satisfied with the care and support provided by the service. One person said; Rydal Mount has a well established team and provides a high standard of care and support to the residents. Another person told us that they deliver excellent support and care to the service users and staff are well trained. One relative told us that the home could do better by improving the staffing levels. Staff views on the home were varied. Some of the comments made indicated that staffing levels could be improved. All of the staff said that there are usually enough staff on duty but their comments included; we need more staff to plan activities and increase in budgets and more staffing levels. Staff also commented on what they see the home does well at. They thought that they are good at supporting residents with activities, holidays and tasks. They said that there is a friendly environment at the home and that they are provided with good support and training. Some of their comments include: We have a good staff team who support each other as well as the service users. We have excellent training. We have a homely home. We are able to voice our opinions and are listened to. The home is well established with a strong committed team who have been stable for many years. There are excellent training and development opportunities on offer. Service users are afforded choice and are highly valued and respected. The management are very supportive and listen to our opinions and problems. Our staffing levels could do with being higher as the manager is usually one of two people and she has a heavy workload as well as being hands on. I really enjoy my job. We have a happy home and this reflects on how the service users fell and interact. What are we going to do as a result of this annual service review? The Care Quality Commission will continue to monitor information about this service and will carry out an inspection when required. We can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information
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